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General Dentistry Frequently Asked Questions

Q. Why do you need to have regular dental care check-ups?

A. Regular check-ups are needed to monitor your overall dentistry health. In addition to checking for cavities, your dentist examines the health of your entire mouth and surrounding soft tissues, checking for pre-cancerous or cancerous lesions, oral sores, and gum disease.

Your oral health is connected with your general health. General dentistry check-ups can alert the dentist to other medical conditions that have symptoms in the mouth such as diabetes, nutritional deficiencies, and hormonal irregularities. Regular dental visits are vital to prevent tooth decay, gum disease, and other conditions affecting your mouth.

Q. What can you do to feel more relaxed during a dental appointment?

A. With the combination of modern anesthetics and new technology and techniques, many procedures only have minimal discomfort or are now entirely painless. Dental care providers want their patients to have maximum comfort and approach their treatments with a relaxed attitude.

There are a number of ways to increase relaxation:

• Tell the dental staff your concerns. Studies have shown that talking about your fears of possible discomfort actually reduces pain.
• Use visualization to picture yourself relaxed, or repeat messages that have a calming effect.
• Play your favorite music on a Walkman you bring with you (some dental offices are equipped with walkmans, too.)
• Arrange a signal with the dental staff, such as raising your hand, if you need a break or feel discomfort.

Some dental offices are now offering patients new options for stress-relief: hypnosis, self-hypnosis instructions, relaxation tapes, soft lighting, warm gel-filled eye masks, scented candles, and massaging pillows. These are helpful in reducing stress and anxiety in dental patients. Be sure to avoid the use of stimulants such as caffeine prior to your visit.

Q. Aromatherapy has a relaxing effect for many people. Is this effective for patients undergoing dental treatment?

A. Research studies conducted at Case Western Reserve University have noted that the use of aromatherapy has a significant positive effect on anxious dental patients. Two-thirds of the patients receiving aromatherapy were more calm and relaxed than those patients without exposure to the scented fragrance oils.

Dentists are concerned about your comfort. Ask your dental provider if aromatherapy is available in the office, or if you can bring your own for your dental visit. Essential fragrance oils are available in health food stores, spas, and some grocery and drug store outlets.

Q. Are dental patients who are considered at risk for bacterial infections advised to take antibiotic medication prior to their appointments?

A. Certain medical conditions, such as heart valve problems or a recent total joint replacement, are considered at risk for infection at the site of the cardiac abnormality or joint replacement. This infection results from bacteria from the mouth entering the bloodstream and working its way to these vulnerable areas.

Consequently, dental care procedures likely to result in bleeding from the gums or mucous membranes will require patients to take antibiotics prior to that procedure. Such procedures could include, but are not limited to, extractions, implant surgery, incision and drainage for oral infection, and professional teeth cleaning.

Guidelines have been established by the American Heart Association and the American Dental Association to provide dentists and physicians with information regarding appropriate regimens for antibiotic therapy. It also outlines those situations when antibiotic therapy is or is not indicated.

There also are other medical conditions warranting antibiotic therapy prior to dental procedures. Be sure to update your dentist regarding your medical history. Your dentist and/or physician will advise you of any special needs.

Q. Where can you receive dental services if you do not have the money to cover the related expense?

A. If you do not have eitherdental insurance or the money to pay for general dentistry visit, you should inquire about financial aid from various sources within your community.

You may need to make several calls, but the local dental society, the local public health department, or social service agencies may be able to direct you to sources of assistance. Also, check local hospitals, dental schools, and outreach clinics that may be able to provide dental services at a reduced fee.

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Why Dentists Say No To Smokeless Tobacco

"Dip" ... "Chew" ... "Pinch" ... "Snuff" ... "Dirt" ... "Plug" ... all are different names for smokeless tobacco, a finely ground version of processed tobacco. No matter the name, smokeless tobacco is harmful and puts your health at risk. Chew on these facts (Don't believe it? Talk to dentists):

• About 30,000 new cases of oral cancer will be diagnosed in 1999.*
• More than 8,000 oral cancer patients will die this year.
• Tobacco products cause about 75% of oral cancers affecting the mouth, tongue, lips, throat, and parts of the nose and larynx.
• Nearly 30 cancer-causing substances have been found in smokeless tobacco.
• One can of smokeless tobacco a day delivers as much nicotine as 60 cigarettes!
• You have a 50% greater risk of developing oral cancer with long-term use of smokeless tobacco.
• Cancer Facts and Figures, American Cancer Society, 1999

Smokeless tobacco has been glorified over time by images of "macho" men performing feats of fame and prowess, whether as athletes, rodeo cowboys, or country music stars. In reality, many want to kick the habit, but nicotine is addictive. It's hard for them to quit.

In a survey of major league baseball players, more than a third reported they had mouth sores, white patches, or gum problems. Nearly 60% said they wanted to quit. The nicotine actually decreases performance, causing dizziness and slowed reaction time.

Smokeless tobacco causes problems for your oral health:

• White, leathery patches in your mouth or lips
• Painful sores that may be pre-cancerous or cancerous
• Yellow teeth and permanent tobacco-stained teeth
• Exposed tooth roots from receding gums, likely to become decayed, sensitive, and painful
• Cavities from the sugar added to the tobacco
• Bad breath
• Greater risk for developing oral cancer

Additionally, smokeless tobacco can affect your general health causing:

• Increased blood pressure and heart rate
• A greater risk of heart attack
• Withdrawal symptoms ranging from headaches, moodiness, and problems concentrating when you try to quit
• Cancer that can be fatal

If you use smokeless tobacco, chew all these facts over. Choose to quit. Your health is serious business. Talk to dentists about getting help to quit. Make the right choice -- it's for your body, your health, and maybe even your life.

By Thomas Warner, DDS

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.